HomeMy WebLinkAbout182537 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 00351414 Page 1 of 1
ONE CIVIC SQUARE SHOE CARNIVAL, INC
fs CHECK AMOUNT: $461.72
CARMEL, INDIANA 46032 Po sox 2262
INDIANAPOLIS IN 46207 CHECK NUMBER: 182537
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 167129 461.72 UNIFORMS
SHOE CARNIVAL INC. SHOE CARNIVAL, INC..
—7500 EAST COLUMBIA STREET
EVANSVILLE, IN 47715 INVOICE
(812) 867 -6471
CUSTOMER'S ORDER NO. PHONE DATE
NAME
ADDRESS
r
QUANTITY DESCRIPTION PRICE AMOUNT
yy�� LAP
f
TAX r
i "1 3
TOTAL
PAID
BALANCE
SC 1029 1 f G 4 RECEIVED BY I MANAGER W v, 1 `�s-
REMIT PAYMENT TO: SHOE CARNIVAL, INC.
P.O. BOX 2252
INDIANAP_Ol- is G_
INK skofe
NET 30 DAYS
WHITE/ Sales
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shoe Carnival
IN SUM OF
P.O. Box-2252
Indianapolis, IN 46207
$461.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 167129 43- 560.01 $461.72 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
T
l/
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
167129 $461.72
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
213
Clerk- Treasurer